Luggage Tag Technique of Anatomic Fixation of Displaced Acromioclavicular Joint Separations

被引:16
|
作者
Baldwin, Keith [1 ]
Namdari, Surena [1 ]
Andersen, Jaron R. [2 ]
Lee, Brian
Itamura, John M. [2 ]
Huffman, G. Russell [1 ]
机构
[1] Hosp Univ Penn, Dept Orthopaed Surg, Philadelphia, PA 19104 USA
[2] Univ So Calif, Keck Sch Med, Dept Orthopaed Surg, LAC USC Med Ctr, Los Angeles, CA 90033 USA
关键词
CORACOACROMIAL LIGAMENT; SURGICAL-TREATMENT; DISLOCATION; RECONSTRUCTION; INJURIES;
D O I
10.1007/s11999-009-0877-8
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Acromioclavicular joint dislocations are common injuries in active individuals. Most of these injuries may be treated nonoperatively. However, many techniques have been described when surgical management is warranted. A recent biomechanical study favors anatomic reconstruction of the conoid and trapezoid ligaments and the acromioclavicular joint capsule, as opposed to the traditional technique of excision of the lateral end of clavicle and transfer of the coracoacromial ligament to the intramedullary canal of the distal clavicle. We present a modification of the anatomic fixation technique using a luggage tag method, which places a graft under the base of the coracoid. This procedure has been associated with few redisplacements of the distal clavicle, reliable pain relief, and minimal postoperative morbidity. We found the luggage tag technique provides anatomic fixation of the distal clavicle and restoration of coronal and sagittal plane stability to the injured acromioclavicular joint. This procedure should reduce the possibility of coracoid fracture and decreases the risk of hardware complications associated with reconstruction techniques that violate the base of the coracoid process.
引用
收藏
页码:259 / 265
页数:7
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